Presentation and management of a patient with rapid progression of degenerative cervical myelopathy during pregnancy: a case report.

Q3 Health Professions

Journal of the Canadian Chiropractic Association Pub Date : 2025-04-01

Aubrianna L Jones, Jordan A Gliedt, Aditya Vedantam

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引用次数: 0

Abstract

Objective: To describe the clinical presentation and management of a patient with degenerative cervical myelopathy (DCM) during pregnancy.

Case presentation: A 34-year-old female, who was 21-weeks pregnant, presented for chiropractic evaluation with acute left upper-back pain.

Intervention and outcome: For the initial symptoms, the patient completed multidisciplinary treatment with progressive improvement in pain. At the nine-week follow-up visit, the patient described a rapid onset of extremity paresthesia and balance change. The physical examination revealed hyperreflexia. DCM was established as the working diagnosis based on clinical examination. Spinal cord compression was confirmed by MRI (magnetic resonance imaging). The patient had a cesarean delivery and anterior cervical discectomy and fusion (ACDF) surgery was performed at four-weeks postpartum.

Summary: Symptoms associated with DCM may be wide-ranging. DCM diagnosis is commonly delayed and timely recognition and management is essential. This case highlights the importance of awareness of DCM and appropriate management for this condition.

本刊更多论文

妊娠期退行性颈椎病快速进展的一例报告。

目的：探讨1例妊娠期退行性颈椎病（DCM）的临床表现及治疗方法。病例介绍：一名34岁女性，怀孕21周，因急性左上背部疼痛来做捏脊评估。干预和结果：对于最初的症状，患者完成了多学科治疗，疼痛逐渐改善。在9周的随访中，患者描述了四肢感觉异常和平衡改变的快速发作。体格检查显示反射亢进。建立DCM作为基于临床检查的有效诊断。脊髓受压经MRI（磁共振成像）证实。患者于产后四周行剖宫产和前颈椎间盘切除术融合术（ACDF）。摘要：与DCM相关的症状可能范围广泛。DCM的诊断通常是延迟的，及时的识别和处理是必不可少的。这个病例强调了对DCM的认识和对这种情况的适当管理的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Canadian Chiropractic Association Health Professions-Chiropractics

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： The Journal of the Canadian Chiropractic Association (JCCA) publishes research papers, commentaries and editorials relevant to the practice of chiropractic.